| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T4528 |
Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each |
845 |
833 |
$175K |
| T4527 |
Adult sized disposable incontinence product, protective underwear/pull-on, large size, each |
786 |
782 |
$132K |
| T4526 |
Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each |
628 |
628 |
$91K |
| A4554 |
Disposable underpads, all sizes |
2,378 |
2,359 |
$84K |
| A6250 |
Skin sealants, protectants, moisturizers, ointments, any type, any size |
2,275 |
2,258 |
$13K |
| A4335 |
Incontinence supply; miscellaneous |
2,376 |
2,361 |
$13K |
| E1399 |
Durable medical equipment, miscellaneous |
65 |
15 |
$3K |